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Biomedical subjects

R M Jordan

Publications and source records attributed to R M Jordan.

At least 19 recordsLinked to original sources
PubMed1991

Fish meal as a protein supplement in finishing lamb diets.

An in situ protein degradation trial and two growth trials were conducted to evaluate the use of fish meal (FM) as a protein supplement in feeder lamb diets. Finn cross and Hampshire lambs were given ad libitum access to corn diets, minerals, and water. In Growth Trial 1, four isonitrogenous (12.6% CP on a DM basis) and isocaloric (77% TDN) diets were supplemented with the following: a) 100% soybean meal (SBM); b) 70% SBM + 30% FM; c) 40% SBM + 60% FM; and d) 100% FM on a DM basis. Diets were fed to 144 lambs for 56 d in a randomized complete block (initial BW) design. In Growth Trial 2, four diets were fed to 80 lambs for 42 d in a completely randomized design with treatments arranged as a 2 x 2 factorial. Main effects in Growth Trial 2 were dietary CP level (13.3 or 14.9%) and source (SBM or SBM + FM). Alfalfa hay was used as the roughage part of each diet. In situ CP degradation (determined in cattle) of SBM, FM, and corn fed in both growth trials were 77.8, 52.3, and 56.8%, respectively. In neither growth trial was ADG affected (P greater than .05) by dietary CP source. Lambs gained faster (P less than .05) when the CP level was increased from 13.3 to 14.9% in Growth Trial 2. In both trials, protein efficiency ratio (grams of gain/grams of protein intake) and energy efficiency ratio (grams of gain/kilograms of TDN intake) were not different (P greater than .05) among diets. Because of the low ruminal degradation of corn protein, the relative value of SBM and FM in full-fed, high-corn diets was comparable.

Animal Feed↗
PubMed1991

Influence of dietary protein and carbohydrate sources on nitrogen metabolism and carbohydrate fermentation by ruminal microbes in continuous culture.

Four diets containing 15% CP were formulated to study the effects of dietary carbohydrate and protein sources on N metabolism and carbohydrate fermentation by ruminal bacteria. Diets were supplied to eight dual-flow continuous culture fermenters during three experimental periods in a randomized complete block design. Six replications were obtained for each diet. Treatments were arranged as a 2 X 2 factorial with two carbohydrate and two protein sources. Carbohydrate sources were corn and barley and protein sources were soybean meal (SBM) and fish meal (FM). Approximately 40% of the dietary CP was derived from SBM or FM and corn or barley provided 39% of dietary DM. All diets contained 15% grass hay, 20% wheat straw, and 10.1 to 15.3% solka floc (DM basis). Interactions (P less than .05) were observed between dietary carbohydrate and protein sources, resulting in a depression of VFA production (moles/day) and digestion (percentage) of ADF and cellulose when the corn-FM diet was fed. True OM digestion (percentage) was higher (P less than .05) for SBM than for FM diets and for corn than for barley diets. Although dietary CP degradation (percentage) was higher (P less than .05) for SBM than for FM diets, non-NH3 N in the effluent (grams/day) was not different among diets due to a greater (P less than .05) bacterial N flow for SBM than for FM diets. Despite the lower amino acid (AA) intake (P less than .05) for corn than for barley diets and also for FM than for SBM diets, flows (grams/day) of total AA, essential AA (EAA), and nonessential AA (NEAA) were similar (P greater than .05) among diets. However, greater (P less than .05) total AA, EAA, and NEAA flows (percentage of AA intake) were found for corn than for barley diets and for FM than for SBM diets. It is concluded, therefore, that ruminal escape protein derived from corn or FM has a significant effect on manipulating AA leaving the ruminal fermentation.

Amino Acids↗
PubMed1991

Ruminal protein metabolism and intestinal amino acid utilization as affected by dietary protein and carbohydrate sources in sheep.

Eight wether lambs fitted with ruminal, duodenal, and ileal cannulas were used in a replicated 4 x 4 Latin square design to study the effects of carbohydrate and protein sources on ruminal protein metabolism and carbohydrate fermentation and intestinal amino acid (AA) absorption. Treatments were arranged as a 2 x 2 factorial. Carbohydrate sources were corn and barley; protein sources were soybean meal (SBM) and fish meal (FM). Diets contained 15.5% CP, of which 40% was supplied by SBM or FM. Corn or barley provided 39% of dietary DM that contained equal amounts of grass hay and wheat straw. Fish meal diets produced a lower (P less than .05) ruminal NH3 concentration and resulted in less CP degradation and bacterial protein flow to the duodenum than did SBM diets. Replacing SBM with FM increased (P less than .05) ruminal digestion of all fiber fractions. In addition, cellulose and hemicellulose digestibilities in the rumen tended to increase (P greater than .05) when barley replaced corn in the FM diets. Carbohydrate x protein interactions (P less than .05) were observed for OM digestion in the rumen and AA absorption in the small intestine (percentage of AA entering); these interactions were highest for the barley-FM diet. These results suggest that feeding FM with barley, which is high in both degradable carbohydrate and protein, might benefit ruminants more than feeding FM with corn, which is high in degradable carbohydrate but relatively low in degradable protein.

Amino Acids↗
PubMed1991

Fish meal as a protein supplement in ruminant diets: a review.

Fish meal (FM) as a protein supplement in ruminant diets is presented to illustrate production responses to FM supplementation and to explain the possible factors that may affect the magnitude of these responses. Positive responses are consistently detected when FM is fed to nonruminants, but the responses when fed to ruminants have lacked consistency. Research indicates that ruminal protein degradation of FM is affected by processing factors including type and freshness of fish, addition of preservatives, stabilization of fat, type of dryer used, temperature and duration of heating, and the amount of fish solubles added back to the meal. Performance data published in the last two decades have been categorized into body weight gain and milk yield and composition. Fish meal was more effective in improving body weight gain in young than in finishing ruminants and in males than in females or castrated males. Daily gains and feed efficiencies were higher when FM supplemented medium- or poor-quality silages than when it was added to high-quality silages. No significant advantage was found for replacing protein sources that were highly ruminally degradable with FM in high-corn diets fed to growing ruminants. Milk yield and milk protein concentration were improved by FM supplementation of low-concentrate diets fed to cows in early lactation. However, milk fat percentage was negatively affected by FM supplementation. Reproduction data indicated that body gain and conception rates of high-producing cows were improved by supplementing their diets with FM during early lactation. Results suggest a significant advantage of FM supplementation to ruminant diets if the physiological status of the animal and the quality of the dietary ingredients are taken into account.

Animal Feed↗
PubMed1979

Medullary sponge kidney and renal-leak hypercalciuria. A link to the development of parathyroid adenoma?

The pathogenesis of the association of medullary sponge kidney and hyperparathyroidism from parathyroid adenoma remains obscure. This unusual case of medullary sponge kidney and secondary hyperparathyroidism due to renal-leak hypercalciuria gives insight into a possible mechanism for the occurrence of medullary sponge kidney with parathyroid adenoma. Suppressible hyperparathyroidism due to renal calcium wasting could represent an intermediate stage in the development of unsuppressible parathyroid hormone secretion. Thus, parathyroid adenoma occurring with medullary sponge kidney may represent a consequence of disordered renal calcium excretion rather than a primary abnormality.

Adenoma↗
PubMed1979

Alcohol-induced Cushingoid syndrome.

A 35-year-old woman with alcoholic liver disease presented with physical stigmas and laboratory confirmation of Cushing's syndrome. With discontinuance of alcohol, her signs of Cushing's syndrome resolved and the urinary free cortisol and the urinary 17-hydroxycorticosteroid response to dexamethasone returned to normal. These findings broaden the spectrum of deranged glucocorticoid chemistry that can occur in alcohol-induced cushingoid syndrome.

Adult↗
PubMed1979

Alternating atrial and ventricular tachycardia.

A patient with alternating atrial and ventricular tachycardia is described. He had an acute myocardial infarction and was taking digitalis. The atrial tachycardia, which was occasionally associated with aberrant ventricular conduction, was able to interrupt the ventricular tachycardia though the reverse was not true, suggesting a retrograde conduction block. This patient shows that atrial and ventricular arrhythmias can alternate and, since tachycardia with aberrant ventricular conduction can closely resemble ventricular tachycardia, intra-atrial electrocardiography may be necessary to establish an accurate diagnosis.

Digoxin↗
PubMed1979

Nelson's syndrome and spontaneous pituitary tumor infarction.

Large, adrenocorticotrophic hormone-secreting pituitary tumors (Nelson's syndrome) developed in four of 12 patients treated with a bilateral adrenalectomy for Cushing's disease. Two of the patients with Nelson's syndrome suffered spontaneous pituitary tumor infarctions. One patient improved under close observation and subsequent radiation therapy, although she ultimately died from her locally invasive tumor. The condition of the other patient-which had stabilized-appeared to be worsened by surgical intervention. The high incidence of these tumors after bilateral adrenalectomy, their large and agressive nature, and their apparent propensity to undergo spontaneous infarction supports the position that initial therapy for Cushing's disease should be directed to the pituitary gland.

Adrenalectomy↗
PubMed1978

Rupture of a parasellar aneurysm with a coexisting pituitary tumor.

The unusual occurrence of a pituitary tumor and a parasellar aneurysm is reported. The aneurysm ruptured and mimicked spontaneous infarction of the pituitary tumor. The importance of performing cerebral angiography before emergency surgical decompression of a presumed pituitary tumor infarction is emphasized.

Adenoma, Acidophil↗
PubMed1978

Dissociation of plasma and CSF prolactin heterogeneity.

Plasma and cerebrospinal fluid (CSF) specimens from 3 patients with suprasellar extension of a pituitary tumour were fractionated by column chromatography. "Big" and "little" prolactin were found in plasma but only "little" prolactin was found in CSF. Prolactin containing CSF from 2 of the patients was incubated with prolactin-free plasma and chromatographed. The elution patterns demonstrated a striking shift toward the [125I]albumin marker resembling the "big" and "little" prolactin pattern seen in native plasma. In addition, [125I]h prolactin was incubated with prolactin-free plasma and rechromatographed. A substantial early eluting peak of radioactivity occurred in the zone of albumin elution. The presence of only "little" prolactin in CSF and the conversion of CSF "little" prolactin to "big" prolactin by exposure to plasma suggest that "big" prolactin is not a prohormone but results from binding of "little" prolactin to plasma proteins or aggregation of "little" prolactin in the presence of plasma.

Adult↗
PubMed1978

Delayed cure of Cushing's disease after transsphenoidal surgery of pituitary microadenomas. Report of two cases.

Transsphenoidal microdissection has been proposed as a preferred means of treating Cushing's disease. This procedure allows the surgeon to remove a pituitary microadenoma and at the same time to preserve normal tissue. Two cases described here were treated by this method. An interesting and important observation was that neither patient appeared to be cured for 2 to 6 weeks after surgery, as assessed by dexamethasone suppression. Later, normal suppressibility occurred and the course of each patient was compatible with cure. Patients treated by this method should not be automatically retreated because of adrenocorticotropic hormone (ACTH) non-suppressibility in the early postoperative period.

Adenoma, Chromophobe↗
PubMed1977

The primary empty sella syndrome: analysis of the clinical characteristics, radiographic features, pituitary function and cerebrospinal fluid adenohypophysial hormone concentrations.

Twelve cases of the primary empty sella syndrome were analyzed in regard to clinical findings, roentgenographic features, pituitary function and cerebrospinal fluid adenohypophysial hormone concentration. The findings were compared with those in 247 cases of the primary empty sella syndrome reviewed from the literature in order to determine the major characteristics of this disorder. The majority of patients are obese, multiparous women with normal pituitary reserve, normal visual fields and undetectable adenohypophysiol hormone concentrations in cerebrospinal fluid. In addition occasional patients witll have hypertension, pseudotumor cerebri and cerebrospinal fluid rhinorrhea. Patients who present with the typical features of the primary empty sella syndrome should be evaluated periodically with pituitary function testing, visual field examinations and cerebrospinal fluid adenohypophysial hormone determinations. If these parameters remain normal during careful follow-up studies, the patient is likely to have an empty sella, and pneumoencephalographic and angiographic studies can be avoided.

Adult↗
PubMed1977

Sulfonylurea-induced factitious hypoglycemia. A growing problem.

Two patients had sulfonylurea-induced factitious hypoglycemia. Both patients demonstrated hyperinsulinism during hypoglycemia suggesting the presence of an insulin-secreting tumor. One patient underwent an exploratory laparotomy with subtotal pancreatectomy before the etiology of the hypoglycemia was discovered. Inboth patients, the diagnosis was made by detecting sulfonylurea agents in blood. A survey of Portland, Ore metropolitan hospitals suggests that factitious hypoglycemia occurs with a frequency similar to the insulinoma syndrome. The biochemical similarity of these disorders and the apparent increasing incidence of factitious hypoglycemia suggests that blood determinations of sulfonylurea agents should be performed prior to exploratory laparotomy for an insulinoma.

Adenoma, Islet Cell↗